- Hematology/Vascular Surgery
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A Fatal Case of a Large Abdominal Wall Muscle Hematoma Secondary to Low-Molecular-Weight Heparin Injections
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Mi Yeon Kim, Hyeon Ju Kang, Min Sun Ryu, Seo Woo Kim, Yon Ju Ryu, Seok Jeong Lee, Jin Hwa Lee, Jung Hyun Chang, Ji Young Hwang
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Korean J Crit Care Med. 2014;29(2):126-130. Published online May 31, 2014
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DOI: https://doi.org/10.4266/kjccm.2014.29.2.126
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 Abstract
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- The use of low-molecular-weight heparin (LMWH) can lead to major life threatening complications, including hematomas.
Abdominal wall muscle hematomas are rarely fatal, and encompass a wide spectrum of severity depending on size, etiology, and associated complications; but because of their rarity may be misdiagnosed clinically. We report a fatal case of an 80-year-old female who received LMWH after an episode of pulmonary thromboembolism and was subsequently diagnosed with a large right abdominal wall hematoma complicated with hypovolemic shock and acute kidney injury.
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Citations
Citations to this article as recorded by  - Hemorrhage of the Ramus Lumbalis of the Iliolumbar Artery as a Cause for Shock in Blunt Trauma Victims on Therapeutic Anticoagulation
Thomas Patrick Sullivan, Eduardo Smith-Singares, Hajime Imura
Case Reports in Surgery.2021; 2021: 1. CrossRef
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A Case of Patient with Eisenmenger Syndrome Admitted to Intensive Care Unit Due to Septic Shock Complicated with Newlydiagnosed Down Syndrome and Moyamoya Disease
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Seok Jeong Lee, Hye Won Kang, Jung Won Huh, Seo Woo Kim, Hyoung Won Cho, Yon Ju Ryu, Jin Hwa Lee, Jung Hyun Chang
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Korean J Crit Care Med. 2013;28(3):204-209.
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DOI: https://doi.org/10.4266/kjccm.2013.28.3.204
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Abstract
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- Eisenmenger syndrome is a severe form of pulmonary arterial hypertension related to congenital cardiac defects. Many patients die at a young age from such complications. The treatment of primary pulmonary hypertension is being applied to Eisenmenger syndrome such as endothelin receptor antagonists, phosphodiesterase-5 blockers, and prostacyclin.
We experienced a case of 29-year female with ventricular septal defect-related Eisenmenger syndrome complicated with Down syndrome and Moyamoya disease, who was admitted to intensive care unit due to enteritis-associated septic shock. After the combination treatment with iloprost and sildenafil within the intensive care unit, the patient was able to wean mechanical ventilation without further applications of invasive rescue therapy such as extracorporeal membrane oxygenator. She was later discharged with bosentan. She maintained bosentan therapy for 34 months continuously without aggravations of symptom but eventually died with intracranial hemorrhage, a complication of Moyamoya disease. To our knowledge, this is the first case report of Eisenmenger syndrome accompanied by mosaic Down syndrome and Moyamoya disease.
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